Psych CASC / OSCE · Foundations — rating scales and measurement-based care
Explain a symptom score and negotiate a treatment change — CASC communication station
MRCPsych/FRANZCP-style CASC: explain MBC, interpret PHQ-9/GAD-7, risk screen, shared decision on optimisation, plan remeasure.
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Station brief
Format. Communication station, approximately 7–10 minutes active time after reading. You are the psychiatry registrar in a community clinic. [3]
Candidate instructions. Build rapport. Explain why questionnaires are used (to track change and guide decisions). Interpret PHQ-9 16 and GAD-7 11 in plain language without claiming a laboratory diagnosis. Check suicidal thoughts even if item 9 is 0 today. Explore side effects, adherence, and goals. Propose a collaborative plan (e.g. dose optimisation within product guidance, adherence support, psychotherapy access, earlier review) and agree when to remeasure. Avoid jargon, cut-off worship, and invented legal section numbers. [1][2][3]
References5ShowHide
- [1]Kroenke K, Spitzer RL, Williams JB The PHQ-9: validity of a brief depression severity measure J Gen Intern Med, 2001.PMID 11556941
- [2]Spitzer RL, Kroenke K, Williams JB, et al. A brief measure for assessing generalized anxiety disorder: the GAD-7 Arch Intern Med, 2006.PMID 16717171
- [3]Fortney JC, Unützer J, Wrenn G, et al. A Tipping Point for Measurement-Based Care Psychiatr Serv, 2017.PMID 27582237
- [4]Trivedi MH, Rush AJ, Wisniewski SR, et al. Evaluation of outcomes with citalopram for depression using measurement-based care in STAR*D: implications for clinical practice Am J Psychiatry, 2006.PMID 16390886
- [5]Lewis CC, Boyd M, Puspitasari A, et al. Implementing Measurement-Based Care in Behavioral Health: A Review JAMA Psychiatry, 2019.PMID 30566197